Revenue Cycle Specialist Position Available In Forsyth, North Carolina

Revenue Cycle Specialist EMS Management & Consultants Inc – 3.1

Winston-Salem, NC Job Details Estimated:

$38.9K – $46.1K a year 1 day ago Qualifications Accounts receivable Medicare Customer service HIPAA Mid-level Microsoft Office High school diploma or GED Analysis skills Continuous improvement Medical billing 1 year

Full Job Description Description:

Job Summary Review and process claims in various stages of the revenue cycle in a timely and compliant manner, in order to ensure highest reimbursement possible is achieved, as well as ensuring that all operational service commitments are met for assigned clients. Major Responsibilities/Activities Monitor overall client performance, identify potential loss or delay in revenue to ensure maximized reimbursement for assigned clients, seek and suggest solutions to maximize client performance Provide proactive, routine feedback and solutions, if needed, regarding client performance, workflows, processes, trends, industry changes, payer regulations, concerns, etc. to appropriate operational and management staff Initiate timely and proactive communication to payers to identify deficiencies and provide appropriate feedback to operational staff in order to resolve and prevent issues Prioritize, process, and delegate correspondence, rejections, denials, appeals, static claims, and all other follow up on claims in accordance with compliance standards and payer and client specifications; includes determining the next appropriate course of action for each claim Work independently to define problems, identify causes, and initiate steps necessary for resolution in a timely manner; follow through with the process to completion Regularly meet, and effectively communicate with, Supervisor Claims Management, onshore and/or offshore team members to ensure highest level of reimbursement is achieved through effective prioritization of work, and adherence to established standard operating procedures and vendor SLAs Holistically approach client performance by utilizing big picture analysis, critical and lean thinking, innovation, curiosity, tenacity, and consistent and timely follow though Monitor and measure client performance outcomes in comparison to client commitments; identify barriers, seek and suggest solutions when desired outcomes are not achieved Stay abreast of industry changes and regulations to ensure adherence and proactive preparedness Exhibit strong customer service skills to build and maintain internal and external relationships in order to best address client needs Conduct all job tasks, calls, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations Consistently support and demonstrate the company mission and values Other Responsibilities/Activities Remain informed and prepared to present client performance analysis as needed and directed by either the Senior Revenue Cycle Specialist, Supervisor, Claims Management, Revenue Cycle Manager or Operations Manager Serve as backup to other teams members as required Perform other necessary tasks as assigned by either the

Senior Revenue Cycle Specialist or Supervisor, Claims Management, Revenue Cycle Manager or Operations Manager Requirements:

Performance Requirements Maintain or exceed specified performance standards for each client, to include but not limited to Contracted Service Level Agreements, A/R Aging, Net Collection Percentages, Average Cash Per Trip, Denials, Rejections, Account Review Aging, and maintaining a 96% audit score monthly. Required Education, Skills, & Experience High School Diploma At least 1-2 years of experience processing health insurance claims and/or denials or other healthcare accounts receivable experience, or 1-2 years medical billing experience or at least 1 year EMS billing experience Ability to holistically approach client performance by utilizing big picture analysis, critical and lean thinking, innovation, curiosity, tenacity, and consistent and timely follow though Ability to organize, prioritize and multi-task Ability to learn, understand, and work within specific compliance, client, and payer requirements Approach all tasks, duties, and interactions with an attitude of continuous improvement Demonstrated understanding of applicable HIPAA regulations, Medicare, Medicaid, insurance, liability, and tertiary payment methods Willing and able to adapt to changes in work environment, procedures, priorities, and job duties Ability to function well within a cross-functional team setting and independently Detail-oriented Resourceful Self-starter Must possess critical thinking/analytical skills Proficient in Microsoft Office programs Preferred Education, Skills, & Experience Strong preference for prior EMS billing and/or denials experience Proficient in EMS|MC billing software Working Environment/Physical Requirements General office environment Frequent typing Sitting, standing, walking Use of basic office equipment such as computer, fax, printer, copier, and telephone •Please note, our hiring process typically lasts 2-4 weeks with three to four interviews total.•